Independent care performed by nursing professionals in the prevention of delirium

Authors

DOI:

https://doi.org/10.56294/ri202355

Keywords:

Delirium, Prevention, Nursing, Intervention

Abstract

Introduction: Delirium is a condition that affects attention, consciousness, and cognition, especially in older people. It can result from underlying diseases or medications. It has a great economic and social impact, with the need for special care, increased risk of falls, prolonged hospitalization and institutionalization.

Methods: A literature search was performed in SciELO and Scopus with the keywords "delirium", "prevention" and "nursing" establishing inclusion and exclusion criteria to select 15 relevant articles on the independent care provided by nursing professionals in the prevention of delirium occurrence in the last 5 years and open access.

Results: The importance of delirium prevention and management through nursing interventions and the use of specific tools is highlighted. The potential of technology for early detection and preventive intervention is highlighted. Nurses play an essential role in the early identification and management of delirium by implementing various interventions and assessment tools. The implementation of standardized measures and protocols to improve the quality of care is recommended, although the need for future studies to improve delirium care is suggested.

Conclusion: The importance of nursing interventions in the prevention and management of delirium was observed, highlighting their effectiveness in reducing the incidence and severity. The usefulness of easily accessible tools and technologies for early detection is highlighted. On the other hand, the need for continuous research to improve patient care and quality of life was emphasized.

References

1. Quesada Astorga D. Delirium en el adulto mayor 2015;614:3-7.

2. Stollings JL, Kotfis K, Chanques G, Pun BT, Pandharipande PP, Ely EW. Delirium in critical illness: clinical manifestations, outcomes, and management. Intensive Care Med 2021;47:1089-103. https://doi.org/10.1007/s00134-021-06503-1.

3. Boehm LM, Jones AC, Selim AA, Virdun C, Garrard CF, Walden RL, et al. Delirium-related distress in the ICU: A qualitative meta-synthesis of patient and family perspectives and experiences. Int J Nurs Stud 2021;122:104030. https://doi.org/10.1016/j.ijnurstu.2021.104030.

4. Burry LD, Cheng W, Williamson DR, Adhikari NK, Egerod I, Kanji S, et al. Pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: a systematic review and network meta-analysis. Intensive Care Med 2021;47:943-60. https://doi.org/10.1007/s00134-021-06490-3.

5. Khan TN, Itrat M, Ansari TH. Public health approach of Unani medicine to cope and stay safe in hot environmental conditions. J Basic Clin Physiol Pharmacol 2021;33:235-41. https://doi.org/10.1515/jbcpp-2020-0296.

6. Delirium: prevention, diagnosis and management in hospital and long-term care. London: National Institute for Health and Care Excellence (NICE); 2023.

7. Palencia-Herrejón E, Romera MA, Silva JA, Grupo de trabajo de sedación y analgesia de la SEMICYUC. Delirio en el paciente crítico. Medicina Intensiva 2008:77-91.

8. Tonna JE, Dalton A, Presson AP, Zhang C, Colantuoni E, Lander K, et al. The Effect of a Quality Improvement Intervention on Sleep and Delirium in Critically Ill Patients in a Surgical ICU. Chest 2021;160:899-908. https://doi.org/10.1016/j.chest.2021.03.030.

9. Hui D, De La Rosa A, Wilson A, Nguyen T, Wu J, Delgado-Guay M, et al. Neuroleptic strategies for terminal agitation in patients with cancer and delirium at an acute palliative care unit: a single-centre, double-blind, parallel-group, randomised trial. Lancet Oncol 2020;21:989-98. https://doi.org/10.1016/S1470-2045(20)30307-7.

10. Li J, Cai S, Liu X, Mei J, Pan W, Zhong M, et al. Circadian rhythm disturbance and delirium in ICU patients: a prospective cohort study. BMC Anesthesiol 2023;23:203. https://doi.org/10.1186/s12871-023-02163-4.

11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología 2021;74:790-9. https://doi.org/10.1016/j.recesp.2021.06.016.

12. Park M, Moon KJ. Web-Based Delirium Prevention Application for Long-Term Care Facilities. Journal of the American Medical Directors Association 2023;24:559-563.e2. https://doi.org/10.1016/j.jamda.2022.12.023.

13. Oliveira C, Garnacho Martins Nobre CF, Centro Hospitalar Universitário Lisboa Norte, EPE, Dourado Marques RM, Universidade Católica Portuguesa, Madureira Lebre Mendes MM, et al. O papel do enfermeiro na prevenção do delirium no paciente adulto/idoso crítico. Rev Cuid 2022. https://doi.org/10.15649/cuidarte.1983.

14. Méndez-Martínez C, Fernández-Martínez MN, García-Suárez M, Martínez-Isasi S, Fernández-Fernández JA, Fernández-García D. Related Factors and Treatment of Postoperative Delirium in Old Adult Patients: An Integrative Review. Healthcare 2021;9:1103. https://doi.org/10.3390/healthcare9091103.

15. Flores-Oñate G, Ceballos-Vásquez P, Mejías-Parada R. Cuidados para el manejo de delirio en Unidades de Paciente Crítico: una revisión integrativa. cuid 2021. https://doi.org/10.14198/cuid.2021.59.15.

16. Contreras CCT, Páez-Esteban AN, Rincon-Romero MK, Carvajal RR, Herrera MM, Castillo AHDD. Nursing intervention to prevent delirium in critically ill adults. Rev esc enferm USP 2021;55:e03685. https://doi.org/10.1590/s1980-220x2019035003685.

17. Kubota K, Suzuki A, Ohde S, Yamada U, Fujitani I, Koitabashi A. Development of a Simple and Practical Delirium Screening Tool for Use in Surgical Wards. Journal of Nursing Research 2020;28:e90. https://doi.org/10.1097/jnr.0000000000000366.

18. Lawlor PG, Rutkowski NA, MacDonald AR, Ansari MT, Sikora L, Momoli F, et al. A Scoping Review to Map Empirical Evidence Regarding Key Domains and Questions in the Clinical Pathway of Delirium in Palliative Care. Journal of Pain and Symptom Management 2019;57:661-681.e12. https://doi.org/10.1016/j.jpainsymman.2018.12.002.

19. Ono H, Doki Y, Miyata H, Yamasaki M, Takahashi T, Endo Y, et al. Postoperative Delirium After Esophagectomy: The Efficacy of Continual Monitoring Using the NEECHAM Confusion Scale. SAGE Open Nursing 2018;4:237796081875679. https://doi.org/10.1177/2377960818756799.

20. Contreras CCT, Esteban ANP, Parra MD, Romero MKR, Silva CGD, Buitrago NPD. Multicomponent nursing program to prevent delirium in critically ill patients: a randomized clinical trial. Rev Gaúcha Enferm 2021;42:e20200278. https://doi.org/10.1590/1983-1447.2021.20200278.

21. Pao Mole Bento MS, Dourado Marques RM, Pontífice Souza P. Delirium: intervenciones de enfermería en el adulto hospitalizado – una revisión bibliográfica. Enfermeria Global 2018.

Published

2023-08-21

How to Cite

1.
Calcagno MRF. Independent care performed by nursing professionals in the prevention of delirium. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria [Internet]. 2023 Aug. 21 [cited 2024 Sep. 19];3:55. Available from: https://ri.ageditor.ar/index.php/ri/article/view/75